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The Metabolic Syndrome: All Criteria Are Equal, but Some Criteria Are More Equal Than Others
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We read with great interest the article by Park et al1 as well as the accompanying commentary by Hill and Bessesen2 regarding the prevalence of the metabolic syndrome and associated risk factors in the US population that participated in the Third National Health and Nutrition Examination Survey. The high prevalence of the metabolic syndrome in the Western world and the consequences of the associated diseases is of great medical and social importance.
Nonetheless, some of the factors concurring to the development of the metabolic syndrome can be modified by lifestyle changes (eg, appropriate diet, exercise, smoking habits, and alcohol consumption) and should be highly recommended to patients at higher risk. However, some other factors are not modifiable, and, indeed, not all the mechanisms leading to the development of the metabolic syndrome and their consequences on coronary heart disease are fully understood. In fact, one of the main findings of the . . . [Full Text of this Article]
Edoardo Giannini, MD;
Roberto Testa, MD
Genoa, Italy
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